The cost to receive an online medical second opinion is $565.00. If a pathology review (reading) is required to complete
your online medical second opinion (as is the case in most cancer-related diagnoses), there will be an additional
charge of $180.00 for that review for a total cost of $745.00 for the second opinion and the reading.

Since we do not accept cash, your payment options include one of the following:

A major credit card (MasterCard, Visa, American Express, or Discover) that will not be charged until
your second opinion is completed and ready for your review online.

A certified bank check or a certified money order from a U.S. bank and in U.S. dollars that will not be processed
until your second opinion is completed and ready for your review online.

While we will not process your payment of the online second opinion until the final consultation report has been
completed and ready for your review online, it is important to understand that once you have given online
authorization in Step 5 to the MyConsult staff to proceed with your second opinion request, your opinion process
has begun. At this time you may not cancel your request and you will be responsible for the
full payment.

Please Note: Unless your employer provides the MyConsult program as an employee benefit (see the FAQ
below), the online medical second opinion is your financial responsibility. If your employer offers an
employee-sponsored medical savings account, this program may be eligible for reimbursement. Please check with
your employer's benefits department for clarification.

Will my insurance pay for an online second opinion?

MyConsult Online Medical Second Opinions are not covered by Medicare and we are unable to accept any insurance
payments. There is no procedure code (CPT code) for this service.

Due to the fact that specific procedure codes have not been assigned to Web-based consultations by insurance
companies and is typically not a service recognized by insurance plans as a covered service, it is unlikely that
your insurance carrier will reimburse you for your MyConsult Online Medical Second Opinion.

This service is not covered by Medicare. Medicare coverage does not include evaluation services that are not
provided face to face (meaning in a physician's office) with the beneficiary.

Cleveland Clinic MyConsult Online Medical Second Opinion will provide an itemized statement/receipt for your
consultation that may be used by you should you choose to seek reimbursement from an employer sponsored medical
savings account or other plans. Cleveland Clinic's MyConsult financial services team is not able to file a claim
for online consultation services with any insurance company and we are unable to accept any insurance payments.

Will my employer pay for an online medical second opinion?

A number of employers have contracted with Cleveland Clinic to provide the MyConsult program as an employee
benefit. To find out if your company offers this benefit and if you are eligible, you may contact your company's
human resource representative. If your employer offers an employee-sponsored medical savings account, this program may
be eligible for reimbursement. Please check with your employer's benefits department for clarification.

Can anyone in any state or any country use the MyConsult Online Medical Second Opinion program?

Cleveland Clinic's MyConsult Online Medical Second Opinion is available to any individual that has been diagnosed with one of the 1,200
conditions available in our program and is interested in receiving an online medical second opinion. If a person over the age of 18 would
like another individual to request an online second opinion on their behalf, they may do so by providing us with a
Proxy Consent Form.
A signed
Physician Request for Consultation Form
is required for patients residing in the U.S. outside of Ohio, Puerto Rico, and Canadian provinces outside of Ontario.

However, there are a few exceptions:

Attention: North Dakota and Guam residents

We are unable to offer online medical second opinions to patients whose mailing address is in Guam or North Dakota. We are abiding by
all state regulations in offering this service. However, if you reside in North Dakota or Guam and wish to obtain a second opinion
from a Cleveland Clinic physician we will be happy to assist you in making an in-person appointment. To schedule an appointment,
please call 1.866.320.4573.

Attention: California Residents

Residents of California that would like to request an online medical second opinion need to inquire with our
clinical operations staff at 1.216.444.3223 or 1.800.223.2273 ext 43223
prior to filling out any online registration information. Due to current restrictions and limitations in your
state, our staff will determine your eligibility in advance. Once we determine your eligibility, you may proceed
with your request. Thank you for your cooperation.

How do I submit my medical records to Cleveland Clinic?

We strongly encourage you to obtain all medical records listed on the Materials Checklist for your diagnosis, and send
them to us (along with all consent forms) in one single package as this will ensure that all necessary medical information
stays together in one complete package.

By Mail:

Please send all materials to the Cleveland Clinic MyConsult office. Please use a mailing service that requires a signature from the
recipient such as, UPS, Federal Express, DHL, or registered U.S. mail (UPS and Federal Express packages cannot be accepted on weekends or
holidays. USPS packages are accepted on Saturday). For your convenience, you may print out and use the mailing label during Step 3
of the second opinion process.

*Please make sure to include Desk H2 - 260 in the mailing address to ensure delivery to the correct address within Cleveland Clinic.

International Patients Mailing Pathology Slides:

International patients that are sending pathology samples need to indicate the following information on their package's commercial
invoice to avoid delay at U.S. Customs:

This specimen is for my medical second opinion review by the Department of Pathology at Cleveland Clinic located in Cleveland, Ohio.

The slides and/or paraffin blocks (including corresponding pathology reports) are non-infectious and contain non-contagious human
tissue taken from the organ tissue that are fed and /or preserved in paraffin.

This specimen has never been cultured.

By Secure File Upload (Paper Medical Records):

If you have a single document or several documents to upload (such as procedure notes and other scanned
paper medical records) you can use our Secure Upload Application.

Once the upload screen opens into a new window, select the Upload Files link

Enter Cleveland Clinic MyConsult's email address to be the recipient of the file transfer:
myconsult@ccf.org

Choose and Submit your files as needed

Please Note: Files are limited to 250MB in size, no more than 10 files per user.

How do I obtain my medical records for submission to Cleveland Clinic?

As a patient, it is your legal right to have access to your own medical records. If there is something on the Required Materials
Checklist for your diagnosis that you cannot obtain, please contact the Cleveland Clinic MyConsult Office at
216.444.3223 or 800.223.2273 ext 43223 to determine if we can proceed with the second opinion.

Medical Records and Test Results:

In order to obtain these items, you will need to contact your local physician's office or the facility where your tests were performed.
While the process may vary, patients typically need to submit a written request for the information. The records may include paper files,
pathology slides, X-rays and other radiology and laboratory findings. Requests normally include the patient's name, address, birth date,
social security number and dated signature. If the patient is unable to sign the request form, a legal representative may sign for them.
For your convenience, we have drafted a letter template that you may find useful to print and send to your physician's office to request
your medical records.

Please make sure you specify that you would like the records released to you, rather than released to the Cleveland Clinic. Your physician or facility
may require seven to 14 days to complete your request and may charge you a copying fee.

Pathology Slides:

If you request pathology slides, call the pathology department of the facility that evaluated them and ask about their procedure for obtaining
original stained slides. In many instances, pathology glass slides are sent directly to the Cleveland Clinic MyConsult office by the outside facility.

Can I request an online second opinion for a loved one?

Yes; however, certain forms are required by law:

Patients over the age of 18:

The patient needs to provide written consent for another individual to request their online second opinion.
A signed proxy form can serve as written consent. Please print out a Cleveland Clinic proxy form
and have the patient complete, sign and date it. Then include this form with the packet of materials you send to the
MyConsult office address.

Patients under the age of 18:

If you are their parent or legal guardian, you do not need to submit a proxy form. If the patient is under 18 and
you are not their parent or legal guardian, then the patient's parent or legal guardian needs to complete a proxy form.
Please include this signed form with the materials you send to the MyConsult office address.

All U.S. patients outside of the state of Ohio:

All of our U.S. patients requesting an online medical second opinion from outside of the state of Ohio must submit a
signed physician request for consultation form. It should be signed by a physician involved in the care of the patient and it
must match the patient's state of residence. Please click here
to download the form.

Is there a service available to help me collect my medical records?

Health Advocate, a third-party service, offers medical record collection services for an additional fee of $245
for domestic patients and $325 (USD) for international patients. Health Advocate will facilitate the collection and
submission of the medical records that are required for the MyConsult online medical second opinion.

If you would like to utilize the Health Advocate service, during Step 3 of the MyConsult process,
please check the box that states, "Yes, I would like to receive assistance with medical records collection.
I understand that this service is provided by a third party at an additional fee of $245 for domestic patients
and $325 (USD) for international patients."

Once you have completed Step 5 of the MyConsult process, the fee for medical record collection
is non-refundable. If you are paying by credit card, your card will be charged $245 if the patient is from the
U.S. and $325 (USD) if the patient is international. If you are paying by check or money order, Health Advocate will not
begin the medical record collection process until Cleveland Clinic MyConsult has received and processed your payment.

Once payment has been received, a Health Advocate team member will contact you directly to initiate the medical
records collection process.

What medical conditions are included in the second opinion program?

To search our list of conditions by keyword, click here.
We are unable to provide an online medical second opinion for active Workers' Compensation cases, any cases involving litigation, or for patients who are hospitalized.
However, we would be happy to facilitate an in-person appointment at Cleveland Clinic. To schedule an appointment,
please call 1.866.320.4573.

Acutely ill patients or those with complex medical situations
should call the MyConsult Staff at 1.216.444.3223 or 1.800.223.2273
ext 43223 prior to completing their second opinion request. Cleveland
Clinic MyConsult reserves the right to accept, reject, or cancel
requests for any reason at any time prior to the completion of the
service.

Why should I receive an online medical second opinion from Cleveland Clinic?

When your health - and perhaps even your life - is at stake, you want to make sure you are
making the most informed
decision about your diagnosis and treatment plan. Cleveland Clinic is one of the nation's most prestigious healthcare
organizations, built on a commitment to international leadership and top quality patient care, education and research.
Consistently ranked amongst the top hospitals in America by U.S. News & World Report, our heat and heart surgery program
has been ranked No. 1 since 1995.

Today, more than 3,000 Cleveland Clinic physicians and scientists practice in 120 medical specialties and sub-specialties,
annually recording more than 5.1 million visits from patients across the United States and from more than 132 countries.
Our physician specialists are consistently recognized as experts in their fields by both their peers and consumers. They are
all board-certified and frequently lecture in their areas of expertise and publish extensively. Many hold leadership positions
in their professional organizations and lead research trials to bring the latest medical advancements to patients as
quickly as possible.

When should I consider a MyConsult Online Medical Second Opinion from Cleveland Clinic?

There are many situations in which an online second opinion from Cleveland Clinic is valuable. You should think about using this program if you:

want reassurance and peace of mind that you've received the correct diagnosis and that you're receiving the
most appropriate medical care for your individual condition

are diagnosed with a chronic illness and want to confirm the proposed treatment plan

are faced with a serious illness that does not require immediate treatment and you want to confirm your
proposed treatment plan is the right one for you

have been offered more than one treatment alternative and do not know which one to choose

have been told you need surgery and want to confirm the treatment recommendation

have been advised to undergo a controversial or experimental treatment

have multiple medical problems that place you at greater risk of suffering complications as a result
of surgery or other medical treatment

want a second opinion from our world-renowned specialist physicians, but do not want to incur the time and expense of travel

Acutely ill patients or those with complex medical situations
should call the MyConsult Staff at 1.216.444.3223 or 1.800.223.2273
ext 43223 prior to completing their second opinion request. Cleveland
Clinic MyConsult reserves the right to accept, reject, or cancel
requests for any reason at any time prior to the completion of the
service.

Are there consent forms that must be submitted in order to obtain an online second opinion from MyConsult?

Yes, the following consent forms must be completed and submitted to MyConsult in order to receive an online second opinion.

Physician Request for Consultation Form: is required for patients residing in the U.S.
outside of Ohio, Puerto Rico, and Canadian provinces outside of Ontario. It must be completed by a physician licensed in the patient's home state.

Proxy Consent Form:
please complete this form if someone will be assisting you with the MyConsult process as a requestor or
is assisting you with medical record collection.

*If the patient is unable to complete the form, a copy of the legal documents verifying the authority of the individual requesting the opinion (Power of Attorney or Court-Appointed Guardian) must accompany the Patient Consent Form when submitted. The form must be signed, dated, witnessed by 2 people, and if possible, notarized.

Can I send my medical records to Cleveland Clinic in a language other than English?

We are not able to process requests that are not in English and we do not provide a document translation service.
All submissions pertaining to your online medical second opinion must be translated prior to being submitted to the Cleveland Clinic
MyConsult office. Medical translation services (not within Cleveland Clinic) are available and we would suggest researching to
find the one that best suits your needs.

Do I need my local doctor's permission to request a MyConsult second opinion?

Although you may contact Cleveland Clinic directly to request an online second opinion, you will still be required
(if residing outside of the state of Ohio within the United States, Puerto Rico or Canadian provinces outside of
Ontario) to submit a signed physician consent form from a physician
licensed in the patient's home state.
Locate the Physician consent forms on our website in the materials list section or you can
download the Physician Request for Consultation Form.

You are your own best advocate for your health and seeking a second opinion allows you to gain additional knowledge about
your diagnosis and available treatment options so you can feel comforted that you are making the most informed healthcare decision.
If you would like to learn more about the benefits of receiving a medical second opinion, please click on this link:
Why Should You Seek a Second Opinion?

Does a Cleveland Clinic doctor examine me?

No. MyConsult online medical second opinions are all performed remotely. Therefore, there is no need for an in-person exam.
Your Cleveland Clinic physician will provide your second opinion after carefully reviewing all of the comprehensive medical
information that you have provided which includes your local doctor's findings during your physical exam.

What kind of computer do I need to access an online medical second opinion?

As long as your computer can access the internet, you can probably use our site. We're compatible with all current operating systems
and most browsers.

Specifically, we use 128-bit encryption to secure your medical information. This ensures that the only people who can access
your data are you and the Cleveland Clinic MyConsult office staff.

Do I need an email account to request an online second opinion?

Yes, our staff will need to communicate with you via email to let you know that new information has been sent to your secure online
MyConsult account that you will set-up during the registration process. We do not send any medical information to your email account
as this is not a secure environment. We strictly send reminders and/or status updates about your second opinion letting you
know to log on to your secure account.

Questions and Answers to Review Before Submitting Your Request

What if I don't know my diagnosis or can't find the one my doctor gave me on your list?

If you are unsure of your diagnosis (as displayed in the "diagnosis or problem" section of the request opinion
process), please call one of our nurses during business hours (8 a.m. to 5 p.m. EST) at 1.216.444.3223
or 1.800.223.2273 ext 43223 Monday through Friday. In order to process a second opinion
request, we need your original diagnosis in order to match your request with a physician who specializes in your
condition.

What if I can't obtain all the documents requested in the information materials list?

In order to provide you with a comprehensive second opinion, we will need all of the items listed on the
materials list (especially those marked mandatory) that we will provide to you. It is important that our
physicians have access to all of your original test results and other medical information in order to render the
most comprehensive second opinion for you. If there is something on the checklist that you cannot obtain, please call
the MyConsult office at 1.216.444.3223 or 1.800.223.2273 ext 43223
to determine if we are still able to proceed with your online second opinion request.

Who will see my information that I send over the internet?

You and the Cleveland Clinic MyConsult staff only. When it comes to handling patients' medical information,
Cleveland Clinic has always adhered to the highest standard of privacy. Today,
we continue that strict practice when communicating with patients via our website. We ensure your complete
privacy via the internet by:

Having you register set up a secure online
account through our website

Establishing a secure account ensures a secure connection between you and Cleveland Clinic

Your computer securely and privately transfers your information to Cleveland Clinic. However, you must use a
browser capable of 128-bit encryption, Internet Explorer 6.02 or higher. If our system
detects that your browser does not meet this specification, we will notify you and instruct you to upgrade your
browser. For more information about security, see our
Terms and Conditions of Use.

Can I cancel my online second opinion request?

You may cancel your online second opinion request at any time while you are filling out the online forms. Simply
click on the "cancel" button at the end of any section to delete your request. However, you may not cancel your
consultation once you have authorized us to proceed (upon completion of the online steps) and we have started working
on your request.

Who chooses the physician who will provide my online second opinion?

After carefully reviewing your second opinion request and medical records, our experienced medical team of nurses
will determine which Cleveland Clinic physician specialist is most appropriate to handle your second opinion case.
You can view biographical profiles for all MyConsult physicians at our List of Providers page.

Questions and Answers to Review Once the Online Request is Completed

How long will it take to receive my online second opinion?

The timeframe for rendering your online medical second opinion is typically 10-14 business days. However, the
duration of time does not begin until our MyConsult triage nurses have processed through all of the materials
they have received and determined that they have all of the necessary medical records from the patient and an
appropriate physician is available and assigned the case. Our triage nurses are meticulous at document
preparation for the physician rendering the second opinion since this is a key piece in making sure that the most
comprehensive report is provided to the patient making the second opinion request to Cleveland Clinic.

The timeframe may be delayed by a few days when any of the following circumstances apply:

If a pathology review is required for your second opinion

If the specialty physician required to complete your second opinion is not available at the time of your
request or you have requested a specific physician to complete the second opinion and they are not currently
available (note: the most appropriate physician specialist will be determined by our medical team).

In some instances, the assigned physician will determine that the complexity of the patient's case requires
consultation with additional specialists, which may require additional time.

Weekends are not included in the 10-14 day timeframe. It is
restricted to business days.

Our goal is to deliver a comprehensive second opinion to you so you can make an informed decision about your health
or the health of a loved one. In the event there will be any delay in rendering your online second opinion, you will
be contacted by the MyConsult office.

Please Note: If you send materials from outside the U.S., it typically takes three to five days for them
to reach our office so please factor delivery time onto the turnaround time.

What if I have additional questions after I receive my online medical second opinion report?

We understand that you may have some additional questions once you receive your second opinion report. Therefore,
the requestor may submit one set of three questions within thirty days of receipt of the initial consultation report.
Please make sure to formulate all of your questions for submission into one email to the MyConsult office at
myconsult@ccf.org. Our goal is to ensure that all of your
questions are addressed.

Your questions will be answered and posted as an addendum to your second opinion report within your secure
MyConsult account that you set-up during the registration process. We will notify you by email when the addendum
is ready to be viewed.

If you have any other questions, please feel free to contact our office toll free at 1.800.223.2273 ext 43223
or 1.216.444.3223.

Can I check on the status of my online second opinion request?

Yes. You may check the status at any time. Simply log onto our website and log in to the secure account you set-up
during the registration process. Our staff will communicate with you via email to let you know that new information
has been sent to your secure online MyConsult account so we recommend checking your email at least once a day. We do
not send any medical information to your email account as this is not a secure environment. We strictly send reminders
and/or status updates about your second opinion letting you know to log on to your secure account. We will notify you
by email when:

We receive your online request

We receive your supporting medical materials

Your opinion is complete and available on the website

We will also contact you via phone or email if we have a question about your request. Since email is not the most
secure environment, we will not include any specific medical questions or information in the email. Instead, we will
instruct you to contact the MyConsult office or go to our website and log on to your secure account for information
regarding your online second opinion.

What will my online second opinion report include?

Based on the comprehensive medical information you provide, your Cleveland Clinic physician specialist will send you
a very thorough second opinion (including recommendations) based on your initial diagnosis and treatment plan.
Information that may have changed from your first diagnosis:

The Cleveland Clinic physician specialist may have a different diagnosis and therefore a completely
different treatment plan.

The Cleveland Clinic physician specialist may agree with your physician's diagnosis, but may offer a
different treatment plan or additional treatment options.

The Cleveland Clinic physician specialist may agree with the diagnosis and the treatment plan of your
first opinion and this second opinion confirmation offers you peace of mind that you are moving forward in
the right direction.

Once you have your second opinion, you are welcome to come to Cleveland Clinic for your treatment.

When possible, your Cleveland Clinic physician specialist may also refer you to the most current
literature (such as medical journal articles) regarding your condition that may also help you as you make
your healthcare decisions.

Will I receive a receipt for my MyConsult second opinion?

Yes. We will mail you your itemized statement/receipt approximately 3 weeks after your second opinion consultation is completed.

Will you store my credit card information?

When you request an online second opinion and provide your credit card information to us, we will store the
information in our secure system until your request is complete. We do not store credit card information beyond
this time period. If you request an additional online second opinion at a future date, we will ask you to provide
your credit card information again. See our
Privacy Statement for a full explanation of our information and security practices.

Will you share my information with anyone else?

No. Only the Cleveland Clinic team managing your case will see your medical information. This team may include the
nurses who determine which physician specialist will fulfill your request, the physician(s) who authors your second
opinion and any medical consultants, such as pathologists, radiologists or other Cleveland Clinic healthcare
professionals who may be asked to review your case. See our
Privacy Statement for a full explanation.

Will Cleveland Clinic return my X-rays and other materials?

Yes. Once we complete your online second opinion, we will use a courier service to return any films,
scans and other materials within approximately two-three weeks. Pathology glass slides are sent directly back to the facility that sent them to us, and we are unable to forward them to other locations. We do not return medical records and diagnostic reports
(paperwork). If you would like to save copies of these items, please make sure to make copies prior to sending
them to the Cleveland Clinic MyConsult office.

If I decide to come to Cleveland Clinic for treatment, can I see the same doctor who provided my online second opinion?

You most likely would be able to see the same physician that rendered your online second opinion. However, we would recommend notifying the
MyConsult nurse by email or telephone (216.444.3223 or 1.800.223.2273 ext 43223) prior to making any travel arrangements. Our goal is to
direct you to the appropriate department for assistance in scheduling your appointment with the physician specialist that rendered your
online second opinion and ensure that the physician is available and is still the appropriate person for your case at the time you make
the appointment. If your MyConsult physician specialist has a long wait time, you may elect to see one of his or her physician colleagues.
It is also possible that your medical problem requires you to see another Cleveland Clinic specialist. If this is the case, the appointment
schedulers will coordinate your appointments for you.

General Questions and Answers about Cleveland Clinic

Do I need a referral to come to Cleveland Clinic?

No. Although many doctors refer patients to Cleveland Clinic, a referral is not necessary. Before scheduling an
appointment, however, we suggest checking with your insurance company to determine your plan's referral
requirements. If you are not working through the MyConsult online second opinion program but would still like
to make an appointment at Cleveland Clinic, please call 1.866.320.4573.

Where are other Cleveland Clinic facilities located?

Cleveland Clinic's main campus, located in Cleveland, OH and comprising 167 acres and 46 buildings, includes a 1,450-bed hospital,
outpatient clinic subspecialty centers with supporting labs and facilities, an education division and a research institute.

Cleveland Clinic also operates more than 75 outpatient locations in northern Ohio, including 16 full-service family health centers;
eight community hospitals; a children's hospital for rehabilitation: one affiliate hospital; a 155-bed hospital, outpatient clinic
and education facilities in Weston, Fla.; health and wellness centers in Palm Beach, Fla., and Toronto, Canada; and the Lou Ruvo
Center for Brain Health in Las Vegas. Cleveland Clinic Abu Dhabi is a partnership between Cleveland Clinic and the government
and people of Abu Dhabi, United Arab Emirates. Scheduled for completion in 2014, Cleveland Clinic Abu Dhabi will service patients
in an environment that combines excellent amenities with world-class medical care.

Most MyConsult online medical second opinions are rendered by our physician specialists located at our main campus facility located in downtown
Cleveland, Ohio. Therefore, if you would like to come to Cleveland Clinic for treatment, your appointment will occur at our main campus.